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Permit • ELECTRICAL PERMIT •C OF TIG ARD PERMIT #: ELC2001 -00171 gilt DEVEL Tigard, SERVICES 639-4171 DATE ISSUED: 3/29/01 SW PARCEL: 2S1 12 D C -00200 SITE ADDRESS: 07342 SW KABLE LN SUBDIVISION: OREGON BUS. PARK III ZONING: I -L BLOCK: LOT : 003 JURISDICTION: TIG Project Description: Installation of two branch circuits. Job No. 7815. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES BOONES FERRY ELECTRIC INC 15350 SW SEQUOIA PKWY #300 -WMI PO BOX 628 PORTLAND, OR 97224 WILSONVILLE, OR 97070 Phone: Phone: 682 -4936 Reg #: SUP 3170S LIC 88482 ELE 3 -223C FEES Required Inspections Type By Date Amount Receipt Wall Cover PRMT CTR 3/29/01 $53.50 2720010000( Elect'I Final 5PCT CTR 3/29/01 • $4.28 2720010000( Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. PERMITTEE'S SIGNATURE 'L ISSUED BY: n, ,, , �, OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: Q0 DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day Electrical Permit Application . ..... „ . i . A Date received: „pg f/ Permit no.: •� �Ci ,� / ' �' 1it 1111 City of Tigard " = - .. y g Project/appl.no.: Expire date: 'iryofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639-4171 Date issued: By Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: TYPE OF PERMIT O ( & 2 family dwelling or accessory ommercial/industrial ❑ Multi - family O Tenant improvement O New construction O Addition /alteration /replacement O Other: O Partial - • JOB SITE INFORMATION • Job address: 7 .3 5 S In/ kikb le Lh Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: I Block: 'Subdivision: Project name/As 0.(.(' cc Pre u1t'S I Description and location of work on premises: Estimated date of completion/inspection: /s p CONTRACTOR APPLICATION _ r FEE SCHEDULE . Job no: 7 8 /S Fee Max Business name: Boones Ferry Electric Description Qty. (ea) Total no. insp , Address: p. O . Box 628 New residential -single or multi- family per dwelling unit Includes attached garage. City: Wilsonville I StateO R I ZIP: 97070 Service included: Phone:6 8 2 T 4 9 3 6 I Fax6 8 2 - 794 g E -mail: 1000 sq. ft. or less 4 NB no.: 8 R 4 R 9 ! Elec_ bus lie no : . , Each additional 500 sq. ft. or portion thereof 3-223C Limited energy, residential 2 Citmetro lie. no.: 2 R 5 Limited energy, non- residential 2 .- a/ , �— Each manufactured home or modular dwelling ignatu' of supervising electri tan ( ;. if Date Service and/or feeder 2 Sup. . ec name (print): JAN - ' ron Licenseno:3170 s Services or feeders— installation, alteration or relocation: ' PROPERTY OWNER 200 amps or less 2 ame (print): 201 amps to 400 amps 2 401 amps to 600 amps 2 ' Mailing address: 601 amps to 1000 amps - 2 City: I State: I ZIP: - Over 1000 amps or volts 2 Phone: I Fax: 1E-mail: Reconnect only - 1 Owner installation: The installation is being made on property I own ' Temporary services or feeders - . . which is not intended for sale, lease, rent, or exchange according to installation, alteration, or relocation: ORS 447, 455, 479, 670, 701. 200 amps or less 2 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 ENGINEER , Branch circuits - new, alteration, Name: or extension per panel: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: I State: • I ZIP: B. Fee for branch circuits without purchase of service or feeder fee, first circuit: t branch ciit: i 2 Phone: Fax: E -mail: er I Each additional branch circuit: PLAN REVIEW (Please check. all that apply) Misc. (Service or feeder not included): O Service over 225 amps - commercial O Health-care facility Each pump or inigation circle 2 o Service over 320 amps- rating of l &2 O Hazardous location Each sign or outline lighting 2 family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, O System over 600 volts nominal more residential units in one structure alteration, or extensions 2 ❑ Building over three stories O Feeders, 400 amps or more ;Description: O Occupant load over 99 persons ❑ Manufactured structures or RV p Each additional inspection over the allowable in any of the above: O Egress/tightingplan O Other. _ Per inspection Submit sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other r Na all jurisdictions accept coedit cards, please call jurisdiction for more information Notice: This permit application Permit fee $ ca ❑ MasterCard expires if a permit is not obtained Plan review (at %) $ i card number / / within 180 days after it has been State surcharge (8%) .... $ Name of cardholder as shown on credit card Expires accepted as complete. TOTAL $ S7, ' $ Cardholder signature Amount 440-4615 (6/00 /COM) t ai10 4' `M it ;+ a* gf ; ;' ti:? ka' 'tom • a4 0 , : r ° v Electrical Permit "Fees: '‘''' .Limited Energy Fees•'_ TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee $75.00 - Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total 4 Check Type of Work Involved: • Residential - per unit .' 1000 sq. ft. or less $145.15 4 ❑ Audio and Stereo Systems Each additional 500 sq. fL or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular Dwelling Service or Feeder $90.90 2 ❑ Garage 9 Door Opener Services or Feeders ❑ Heating, Ventilation and Air Conditioning System* Installation, alteration, or relocation • 200 amps or less $80.30 2 201 amps to 400 amps $106.85 2 • ❑ Vacuum Systems* - 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 • 1 1 Other Over 1000 amps or volts $454.65 2 _ . Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation Fee for each system $75.00 200 amps or less $66.85 2 (SEE OAR 918-260 -260) 201 amps to 400 amps $100.30 _ 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see "b" t above. ❑ Audio and Stereo Systems Branch Circuits New, alteration or extension per panel 1E1 Boiler Controls a) The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6.65 2 ❑ Data Telecommunication Installation • b) The fee for branch circuits without purchase of service ❑ Fi re Al ar m Installation or feeder fee. y S , ' • First branch circuit 1 $46.85 L it .\ • Each additional branch circuit / $6.65 ,U; ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) • _ Each pump or irrigation circle $53.40 . Each sign or outline lighting $53.40 ❑ Intercom and Paging Systems Signal circuit(s) or a limited energy . • panel, alteration or extension $75.00 ❑ Landscape Irrigation Control Minor Labels (10) $125.00 • Each additional inspection over ❑ Medical the allowable in any of the above • Per inspection $62.50 ❑ Nurse Calls Per hour $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting* Fees: ❑ Protective Signaling Enter total of above fees $ 53,50 I I Other 8% State Surcharge $ t} r 2. Q Number of Systems - 25% Plan Review Fee See "Plan Review?' section on $ * No licenses are required. Licenses are required for all other Installations front of application. Fees: • Total Balance Due $ ' 7, '7 g Enter total of above fees $ ❑ Trust Account # 8% State Surcharge $ Total Balance Due $ i:4ists \ forms \elc- fees.doc 10/09/00 yrzz, CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP ' te Requested AM PM BLD /Z— Location 73 5 I.. /e46(..? L- Suite MEC Contact Person u s S hr1 Ph CtZ 4/ > PLM Contractor 40 e . % - is _ Ph SWR BUILDING° rr _ : ` - Tenant/Owner ELC /"- ) 7 Retaining Wall ELR Footing • Access: Foundation FPS Ftg Drain Slab Crawl Drain Inspection Notes: - SGN SIT Post & Beam • Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing. - Firewall Fire Sprinkler Fire Alarm . Susp'd Ceiling Roof Fin Final PASS PART FAIL ; PLUMBING0 : ;1:7. Post & Beam Under Slab . 6, Top Out • Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL y , °;y,« Post & Beam Rough In • Gas Line Smoke Dampers Final PASS PART FAIL Service Rou U /Slab. Low Voltage Fire Alarm Fin PART FAIL • • Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for r-inspection RE: `Unable to inspect - no access ADA Approach/Sidewalk . te �-7 • Other Date C/ Inspector Ext Final PASS PART FAIL . D • NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -417 Business Line: 639 -4171 Q BUP 9 O Date Requested AM PM BLD Location 7 0-46, (A0 Suite MEC Contact Person Ph. PLM Contractor as %I�� a "/ , . Ph 6e2, -C �� SWR Tenant/Owner ELC 2.93: -- OD/ '7( Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear • Int Sheath /Shear Framing - Insulation Drywall Nailing Firewall Fire Sprinkler / //4 �l �3 6/, Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL P s Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL: _ Post & Beam - Rough In • Gas Line • Smoke Dampers Final T FAIL ice /(�� , , Rough In / ,fj(/ UG /Slab Low Voltage • Fire Alarm Final . PASS PART FAIL. SI Backfill /Grading Sanitary Sewer • Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin • Fire Supply Line [ ] Please call for reinspection RE: • [ ] Unable to inspect - no access . ADA L� Approach /Sidewalk Other Date C ZD ®/ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site